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9In fiction, the people most likely to get plastic surgery or other kinds of cosmetic procedures are unpleasant (and probably rich). Maybe they mention a boob job in a throwaway line, regularly get Botox or lip fillers, or spend a whole episode getting a nose job. Regardless of the exact procedure, this instantly characterizes the character as vain and appearance-obsessed. Having the money to spend on cosmetic procedures is an easy way to show a character is a RichBitch. In addition, this could be used to show that these characters have insecurities about their appearance for all their haughtiness.
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11Because VanityIsFeminine, this trope is mainly used for women or [[TheDandy dandyish]] men. In a HighSchool setting, the AlphaBitch might mention getting plastic surgery, and her 'artificial' beauty will contrast with the 'natural' beauty of the GirlNextDoor. The same can be said for the ObnoxiousEntitledHousewife in a neighborhood setting.
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13In real life, people get plastic surgery for a variety of non-vanity reasons, such as recovering from accidents. Attitudes towards plastic surgery vary across cultures; in South Korea, for example, it is relatively common.
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15Will often overlap with FakeBoobs, and BreastExpansion, as breast augmentation is a common cosmetic surgery in a setting with BuxomBeautyStandard. Examples of underage girls may fall into TroublingUnchildlikeBehavior if they are trying to be YoungerThanTheyLook.
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17Compare JustTheWayYouAre, where someone decides against getting cosmetic surgery and embraces their natural appearance, MakeupIsEvil, where makeup (a temporary way to enhance one's appearance) is also associated with vanity and villains, and VainSorceress, a villainess who uses magic, not cosmetic surgery, to remain youthful and beautiful, and LooksWorthKillingFor.
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19See also MagicPlasticSurgery and SurgicalImpersonation, which turn you into a whole new person.
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21----
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23!!Examples
24[[foldercontrol]]
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26[[folder:Comic Books]]
27* ''Creator/MarvelKnights (2002)'': The Brothers Grace are corrupt European businessmen who are addicted to plastic surgery provided to them by their [[TheDragon Dragon]] Mister Tune. One of them even requests liposuction after a meal.
28* Cat Grant from ''ComicBook/{{Superman}}'' getting breast implants is portrayed this way by the narrative. She's shown flaunting her new figure and trying to seduce Clark, [[IgnoreTheFanservice who just ignores her]]. However, she is given some sympathy, as it's suggested the surgery is part of her coping with the loss of her son.
29* ''ComicBook/XMen'': [[Characters/MarvelComicsEmmaFrost Emma Frost]] has mentioned getting surgical procedures, [[MostCommonSuperpower including breast implants]]. She's also very much a RichBitch, being cold, arrogant, and snobby. She keeps these traits even after her HeelFaceTurn.
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32[[folder:Fan Works]]
33* ''Fanfic/PokemonResetBloodlines'': The Sensational Sisters are [[AdaptationalJerkass far more unpleasant and dishonest]] than they were in [[Anime/PokemonTheSeries canon]], and the narration says that they've had quite a bit of plastic surgery.
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36[[folder:Films -- Animated]]
37* In ''WesternAnimation/TheAddamsFamily2019'', Wednesday's first impression of [[BigBad Margaux]], the antagonistic suburban mom/real estate developer, is that her face resembles a death mask, with the strong implication that she's had plastic surgery.
38[[/folder]]
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40[[folder:Films -- Live Action]]
41* In ''[[Film/TheAddamsFamily Addams Family Values]]'', Wednesday is forced by her stuck-up summer camp cabin buddies to participate in a ghost story-telling game where each participant adds to the story. She ends it with the punchline that the ghost makes all of their old noses grow back, prompting all of the other girls to scream in sheer horror.
42* Downplayed in a [[GenderInvertedTrope rare male example]] in ''Film/BadEducation2019'' -- one of the most selfish ways Frank spends the money he stole from the school is by getting plastic surgery.
43* ''Film/CrazyRichAsians'': One of the rich Asian socialites at Araminta's bachelorette disses the middle-class Rachel's appearance, scoffing that she's probably never heard of plastic surgery.
44* Exaggerated in ''Film/EscapeFromLA''. One group of villains is a Beverly-Hills-based cult of plastic surgery-addicted murderers, led by a MadDoctor called the Surgeon General, who have had so many implants and face-lifts that they need to [[HumanResources harvest and implant fresh body parts into themselves]] in order to keep themselves alive.
45* In ''Film/AGirlWalksHomeAloneAtNight'', Shaydah, the snobbish and unpleasant daughter of Arash's employers, has a bandage over her nose implying that she's just had work done to it.
46* Invoked and played with in ''Film/GoodnightMommy''. The mother has had a bump removed from her nose which leads her twin sons to become convinced that she's been replaced, especially as she returns from the surgery cold, distant, and aggressive, and she won't show them what's under the bandages. [[spoiler:It makes a lot more sense once it's revealed that Lukas is DeadAllAlong and she's responding to the stress of losing him while Elias pretends he's still alive.]]
47* ''Film/MammaMia'': Tanya is a heroic example; she's a good, supportive friend to Donna and an HonoraryAunt to Sophie. However, she's still a vain and rich SerialSpouse, which fits with Rosie's lines about her having a bunch of cosmetic surgery done.
48* ''Film/TheNeonDemon'': AlphaBitch Gigi is described by her plastic surgeon as "The Bionic Woman" for the amount of plastic surgery she's had. She starts the movie by bullying Jesse for being an orphan and ends it by [[spoiler:killing and eating her to try and consume youth. She regrets the cannibalism and kills herself, but it's still too late to redeem her]].
49* The wealthy [=GeneCo's=] CEO's selfish and entitled daughter Amber Sweet from ''Film/RepoTheGeneticOpera'' is outright addicted to plastic surgery and the painkillers used.
50* Downplayed in ''Film/{{Us}}''. Kitty's EstablishingCharacterMoment shows off that she has had (subtle) plastic surgery since Adelaide saw her last. Although she is the matriarch of a well-off NuclearFamily, she spends the rest of her screentime miserable at her husband and sniping both at and about him and her twin daughters.
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53[[folder:Literature]]
54* ''About Face'' (one of the Literature/CommissarioBrunetti novels by Donna Leon) has a woman whose beautiful face is immobile from her plastic surgery. However, while she's presented by the Italian media as this, Brunetti discovers that it's not her fault and she was the victim of bungled facial surgery thanks to an incompetent doctor.
55* In ''Literature/TheCinderellaMurder'', washed-up actress Madison is vain, shallow, and manipulative, and it's obvious she's had some cosmetic surgery on her face, including Botox and fillers. Laurie observes that while Madison is an attractive woman, she wonders if she wouldn't have looked more attractive without the plastic surgery, especially as she's not even forty yet.
56* ''Literature/TheClique'': Mean girl Alicia is shown to have unusually well-developed breasts for a girl her age (she's about 12-13). It's later revealed that she has implants.
57* Although it happens to a bitchy character in ''Literature/DarkPlaces'', it serves to make her more pathetic and adds sympathy to her bitchiness. When Libby catches up with Kristy, she's a SingleMomStripper and JadedWashout but still expects Libby to feel sorry for her after she falsely accused Libby's brother Ben of rape (although, in fairness, she was also manipulated by corrupt police). She also has an extremely crooked boob job that she was convinced into getting by her "manager"/pimp.
58* ''Literature/TheHungerGames'': Plastic surgery is common in the Capitol, the part of Panem famous for its vanity, luxury, and extravagance. It's mentioned that [[SmarmyHost Caesar Flickerman]] hasn't aged a day in almost a quarter century due to a reliance on the practice.
59* ''Literature/LetMeCallYouSweetheart'' plays with this, with its overall message seeming to be less that getting cosmetic surgery is a sign of being a bad person and more that it won't fix a crappy personality or poor attitude.
60** It's revealed that [[spoiler:Suzanne Reardon]] received plastic surgery to make her physically beautiful but she subsequently became conceited and hedonistic with little regard for others' feelings. It's indicated that she was never an especially pleasant person to begin with, being extremely envious of others and whining about the unfairness of it while doing little to improve herself and overlooking her other qualities. Getting plastic surgery merely amplified or added to her negative traits while still not fully removing her insecurities; she would even tell lies to her friends about how she was [[BlatantLies always considered beautiful]] and had to [[{{Hypocrite}} put up with other girls being envious]].
61** Averted with Barbara Tompkins, who is depicted as a [[NiceGuy genuinely kind and polite]] young woman who merely lacked confidence due to her insecurities around her looks. After receiving surgery, she blossoms both in her professional and personal lives, and she's never depicted as a bad person for it. In fact, her biggest issue is that she's ''too'' polite to tell Dr Smith all his attention is making her uncomfortable, not wanting to seem ungrateful.
62* ''Literature/MoonBaseAlpha'': Sonja Sjoberg is a greedy and temperamental woman who's had lots of plastic surgery, [[spoiler:though she does draw the line at letting her husband use their daughter as TheScapegoat for his crimes]].
63* Played with in ''Literature/SharpObjects''. Jackie is Adora's best childhood friend and Camille's surrogate mom. Camille mentions that she has obviously just had a facelift, which is still swollen and frightening to look at. Although she shows Camille more love than Adora ever did or does, Jackie is also shown getting into vicious arguments with her "friends" and clearly lived in denial that Adora [[spoiler:murdered Marion]].
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66[[folder:Live-Action TV]]
67* In an episode of ''Series/BlackIsh'', Zoey wants to help her nerdy brother Junior hook up with an AsianAirhead at their school. Junior mentions he heard a rumor she got a boob job. Zoey confirms these rumors are true and that she also had some "light butt work". The girl establishes herself as an AlphaBitch when she uses Junior to edit an audition video for ''Series/TheBachelor''.
68* ''Series/Charmed1998'' offers two examples:
69** The Season 1 finale plays it straight with Joanne Hertz, Piper's former classmate who married rich and got her own segment at The Food Network. She is very condescending towards Piper, and when Phoebe starts naming random facts about her to prove to Piper that they're in a time loop, she adds that Joanne got a nose job. In a later loop, Piper lashes back at Joanne and mentions the thing too.
70** Season 5 subverts it with Jessica, the fiancé of Paige's ex-boyfriend Glenn. While under a hex, Paige brushes Jessica off as a bimbo who got her boobs and nose done, but ultimately her antagonism is one-sided and rooted in her lingering feelings for Glenn; Jessica, on her part, is actually a nice person who genuinely loves Glenn.
71* ''Series/TheCrown2016'': In her later years, Wallis Simpson has gotten numerous procedures to cope with aging. Lord Mountbatten even states that she goes "flapping around like a demented bat." She's also a Nazi sympathizer.
72* Exaggerated and parodied in ''Series/DoctorWho'' with the rich and haughty last human Cassandra from "[[Recap/DoctorWhoS27E2TheEndOfTheWorld The End of the World]]" and "[[Recap/DoctorWhoS28E1NewEarth New Earth]]", who has had so many plastic surgeries that she's been [[BodyHorror reduced]] to what Rose Tyler rather accurately describes as a "bitchy trampoline".
73* ''Series/{{Frasier}}'':
74** Maris, Niles's thoroughly unpleasant first wife, is repeatedly mentioned to be getting plastic surgery, to the point it seems she's addicted to it.
75** Niles's similarly unpleasant [[HasAType second]] wife Mel is actually a plastic surgeon herself (one of Maris's, in fact). It's heavily implied she's had a lot of work done, as she doesn't look old enough to have a son the age he is.
76* In ''Series/{{GCB}}'', Cricket gets breast implants for her daughter, who acts as the AlphaBitch for the current generation at high school. It's implied that all the popular girls have gotten implants, with one of Cricket's friends mentioning she's planning on giving her daughter the surgery for Christmas. This ends up backfiring on Cricket's daughter when she suffers a WardrobeMalfunction because her clothes weren't big enough for her new breasts.
77* While not a ''bitch'', Summer is the ditziest member of ''Series/Girls5eva'' and the one who lives the most lavish lifestyle. A season two episode has her continuously deny she's ever gotten work done even though it's transparently obvious that she has. When Dawn tries to get her to stop, citing societal pressure on women, she eventually agrees with Summer getting cosmetic surgery done as long as she gets it done somewhere safe.
78* Happens a few times in ''Series/{{Glee}}'':
79** Santana starts Season Two as the head cheerleader and the most popular girl in school. However, the cheer coach discovers that she got a boob job over the summer so she can get more attention from guys. Her coach disapproves of underaged plastic surgery and demotes her from head cheerleader.
80** Played with in an episode when Rachel considers getting a nose job. She wants her nose to look like head cheerleader Quinn. However, it's then revealed that Quinn got a nose job when she was younger. Unusually for this trope, this is used to give Quinn [[HiddenDepths some more depth]] as opposed to marking her as an AlphaBitch (which she started off as).
81* ''Series/TheGoodLife'': In a rare male example, a minor recurring plot point is Jerry's [[SitcomArchNemesis ongoing rivalry]] in the company with the smug and odious fellow executive [[ProfessionalButtKisser Snetterton]], who it is rumoured to have had plastic surgery, and at least a nose job. Towards the end of the show when "Sir" is planning to retire, and they're both competing to be named his successor, Jerry even tries to find evidence the rumour is true hoping it will be his ace to get the job, much to Tom and Barbara's amusement.
82* One episode of ''Series/HopeAndFaith'' had Hope mention how Faith had surgery on her nose. Faith is, of course, depicted as the more shallow and irresponsible of the two sisters.
83* ''Series/TheMick'': Sabrina, the niece of the show's protagonist, is extremely [[BrattyTeenageDaughter spoiled]] due to her wealthy upbringing. One episode revolves around her getting breast implants with her mother's approval. Her aunt finds this irresponsible and tries to talk her out of the surgery. In the end, Sabrina doesn't get the implants, but only because they broke while she was trying to see how they would look on her.
84* ''Series/ModernFamily'': When Cam and Tucker's friend Sal is first introduced, she's proudly showing off her new breast implants. She's also shown to be an emotionally stunted, [[HardDrinkingPartyGirl party-loving alcoholic]], and [[AttentionWhore even gets jealous that Cam and Tucker's daughter Lily is taking attention away from her.]]
85* Jan gets a breast augmentation in ''Series/TheOfficeUS''. It's explicitly stated she got the surgery to [[IHaveBoobsYouMustObey better manipulate]] her ex Michael.
86* ''Series/OneTreeHill'': Rachel Gatina is a slutty, manipulative AlphaBitch. It's revealed that she was FormerlyFat before she had plastic surgery.
87* ''Series/RaisingHope'':
88** One episode has Jimmy getting drunk and dreaming of a [[ItsAWonderfulPlot world where he didn't conceive Hope]]. One change is that his love interest Sabrina has gotten breast implants after her job made their female employees wear skimpy outfits. This version of Sabrina is also much more jaded and mean than in the regular timeline.
89** Subverted in an episode where the Chance family finds out that Sabrina comes from a wealthy family. They end up getting invited to a party at her family home. Sabrina warns Jimmy that the people in attendance are all awful people. One of them is a woman who had various plastic surgeries, something Sabrina gleefully points out. However, it becomes clear that she and the rest of the guests are actually nice people and Sabrina is just lashing out because of her insecurities.
90* ''Series/{{Scrubs}}'': Jordan Sullivan gives her ex-husband Perry Cox a run for his money in the {{Jerkass}} department and has been mentioned to have undergone several cosmetic operations, [[IHaveBoobsYouMustObey including a boob job]].
91* ''Series/{{Smallville}}''.
92** "[[Recap/SmallvilleS04E03Facade Facade]]":
93*** The villain, Elise Fine, is a cosmetic surgeon who has had work done herself, having undergone seven surgeries to get what she considered the perfect look. She performed an operation on her daughter to treat her acne using Kryptonite. Elise is shown as callous to her daughter's discomfort and the trauma other people have suffered because of her experiments.
94*** Her daughter Abigail herself is an inversion, being a kind person who is being bullied by others including her mother, which drives her to undergo her mother's operation. While it works her beautifully, it also causes her to drive anyone insane if she kisses them, because of the Kryptonite that was used. Abigail is more of a reluctant villain and is portrayed as sympathetic throughout the episode.
95** Dawn Stiles, the AlphaBitch villain of "[[Recap/SmallvilleS04E18Spirit Spirit]]", was voted "most likely to have plastic surgery" according to the high school yearbook.
96* ''Series/{{Suburgatory}}'': The people of Chatswin, who are shown to be very shallow, regularly get plastic surgery. In the pilot, a woman falls into the pool at the country club but doesn't drown due to her breast implants making her buoyant. Of the main cast, Dallas is mentioned to have had numerous cosmetic procedures. However, she's shown to be kind, if a bit shallow and [[TheDitz ditzy]].
97* ''Series/TwoAndAHalfMen'':
98** Judith is mentioned to have undergone various procedures, including breast implants and liposuction. The bitch part comes in because she's paying for the surgeries [[FinancialAbuse using her husband's alimony, to the point he can barely afford to support himself]].
99** Evelyn Harper, [[AbusiveParents Charlie and Alan's emotionally abusive mother]], has been mentioned to have had cosmetic work done. In one episode, she claims that Charlie's fiancée will blow all his money on unnecessary plastic surgery, [[{{Hypocrite}} and insists her surgeries were necessary]].
100* In an episode of ''Series/{{Victorious}}'', Trina (a diva who thinks she's better than everyone) expresses interest in getting cosmetic surgery. Given it's a kid's show, it's not stated what surgery she wants, but she is shown briefly looking down at her breasts. Unlike most examples of this trope, Trina doesn't seem to have the approval of her parents to get the procedure, as she mentions she has to wait until she's eighteen. This is likely due to her status as TheUnfavorite in her family.
101* Karen Walker from ''Series/WillAndGrace'' has been mentioned to have undergone cosmetic surgery a few times and is a shallow, gold-digging jerk.
102* ''Series/WizardsOfWaverlyPlace'': A RunningGag with the AlphaBitch Gigi was that she'd keep getting plastic surgery. Her extremely loyal GirlPosse would then ''also'' get the same surgery afterward, in an effort to look like her.
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105[[folder:Music]]
106* Music/{{Eminem}}:
107** The "R&B Bitches" freestyle involves some rather reactionary razzing of Music/BritneySpears for being a role model to teenage girls and yet getting breast implants. (It's unclear whether she did.)
108** A more tragic male example in "Em Calls Paul (Skit)", where Slim is upset about what happened to his foe Music/MichaelJackson. He concludes, "I hate plastic surgeons and I hope they all fucking die".
109** In "Roman's Revenge", Slim brutalises a woman with "fake tits and a bad dye job" for pirating his music (in a {{Metaphorgotten}}).
110** In "A Kiss", Slim's annoyed at his girl for leading him on:
111--->And if you ain't sucking a dick, why you sitting there with puckered lips?\
112Oh. That's collagen. Muhfuckin' bitch.
113** In "Remind Me", Slim (a VillainProtagonist with dreadful taste in women) lusts after a heavily surgically altered girl - "''fake tits are better than real ones!''" - because her garish tastelessness and artificiality remind him of himself. It's possible the song was made in response to UsefulNotes/DonaldTrump's famous ''Access Hollywood'' tape in which he talks about his lust for women with huge fake tits.
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116[[folder:Theater]]
117* ''Theatre/CinderellaLloydWebber'': Belleville's vain and snotty residents regularly go under the knife. The apparent exception seems to be heroine Cinderella, who is an outcast for not caring about her appearance.
118* In ''Theatre/{{Heathers}}'', Heather Duke -- a member of the GirlPosse [[spoiler:who eventually becomes the next AlphaBitch]] -- is introduced by Veronica thus:
119-->''No discernible personality, but her mom did pay for implants.''
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122[[folder:Toys]]
123* ''Franchise/{{Bratz}}'': Kaycee is one half of mean-girl duo the Tweevils and frequently has botched nose jobs, resulting in a perpetual bandage over the bridge of her nose. It also [[IdenticalTwinIDTag helps distinguish her]] from her similarly awful sister Kirstee.
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126[[folder:Video Games]]
127* ''VideoGame/GrandTheftAutoV'': Michael's wife is materialistic, unfaithful (though Michael's also guilty of this) and shrewish. She's also said to have had multiple plastic surgeries since coming to Los Santos; in one argument, Michael tells her that she seems to be most worried about what body part she'll put under the knife next. [[spoiler:She [[TookALevelInKindness gets better]] over the course of the game.]]
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130[[folder:Web Animation]]
131* ''WebAnimation/MangaWaido'': Yuta's abusive girlfriend [[https://www.youtube.com/watch?v=sX9sfMZQH_o Tomoko]] [[spoiler:is revealed to be one in the conversation held by Yuta and the managing director at the restaurant they ate and drank at. Moreover, she still has to pay debts for her plastic surgeries]].
132* ''WebAnimation/MoniRobo'': [[https://www.youtube.com/watch?v=tnH0E3_kSvY In this story]], [[spoiler:Tsubasa reveals that her homophobic sister Risa's face resembled her father's back then, and she underwent plastic surgery as soon as she got into high school]].
133* ''WebAnimation/RefreshingStories'': The gold digger [[https://youtu.be/5Ldhn5mpa1c Akane]] forced Hiroshi to pay for her plastic surgery after making a vague, ambiguous call from the hospital. [[spoiler:After her sugar daddies all left her, she became addicted to plastic surgery to the point it ruined her face.]]
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136[[folder:Western Animation]]
137* Exploited in ''WesternAnimation/AmericanDad''. Steve wants to get revenge on a group of popular girls who he believes [[AllElectionsAreSeriousBusiness sabotaged his girlfriend's run for student body president]]. One of them goes to a plastic surgery clinic to get liposuction. While she's under anesthesia, Steve sneaks in and reverses the flow of the liposuction device, so she gets extra fat placed inside of her.
138* ''WesternAnimation/{{Daria}}'': In "[[Recap/DariaS1E09 Too Cute]]", a girl called Brooke in Quinn's grade gets a nose job from popular new plastic surgeon Dr. Shar, making Quinn insecure about her own looks and her position in the Fashion Club. She badgers Daria into accompanying her on a visit to the unscrupulous Dr. Shar, who tricks the gullible Quinn into believing [[UnnecessaryMakeover she needs to undergo $6000 worth of cosmetic surgery that would only make her look ridiculous]] (while also offering to give Daria surgery that will [[InsaneTrollLogic make her look like Quinn does now]][[note]]'''Jane:''' [[LampshadeHanging "What do you wanna look like THAT loser for, she needs $6000 worth of plastic surgery!"]][[/note]]). Daria [[GodzillaThreshold is forced to admit to Quinn]] that her looks are already perfect in an attempt to dissuade her, to no avail. Fortunately, while Quinn is desperately trying to find the money, Brooke suffers horrible aftereffects from her surgeries as her new nose caves in and her plumped-up lips slide, discrediting Dr. Shar and alleviating Quinn's worries about needing to keep up.
139* Implied with Chloe, the {{rich|Bitch}} AlphaBitch from ''WesternAnimation/MiraculousLadybug''. People accusing her looks of being plastic surgery is apparently a BerserkButton for her.
140* ''WesternAnimation/MyLittlePonyFriendshipIsMagic'': Spoiled Rich is a RichBitch who emotionally abuses her daughter -- it's implied that Spoiled is the main reason why said daughter is such a bully to her own classmates. In [[Recap/MyLittlePonyFriendshipIsMagicS5E19CrusadersOfTheLostMark her first appearance]] in the present day, Spoiled Rich's snout is much daintier than most other mares', subtly implying she got a nose job. This is all but confirmed when [[Recap/MyLittlePonyFriendshipIsMagicS6E23WhereTheAppleLies a later episode]] has a flashback revealing that, when she was a young mare, she had a bigger, rounder snout than most other mares.
141* ''WesternAnimation/TheSimpsons'': In "[[Recap/TheSimpsonsS31E21TheHatefulEightYearOlds The Hateful Eight Year Olds]]", Lisa is invited to the birthday party of her friend Addy. At the party, she meets Addy's other friends who are all {{Alpha Bitch}}es. One of these friends is a girl who can't express emotions because she was exposed to Botox in the womb. Addy is jealous of this, suggesting that their [[ToxicFriendInfluence influence is rubbing]] off on her.
142* ''WesternAnimation/SouthPark'': In "[[Recap/SouthParkS6E10BebesBoobsDestroySociety Bebe's Boobs Destroy Society]]", Bebe's breasts start to develop and become more noticeable, which attracts all the guys in the fourth grade, but earns her the ire of the other girls who call her a slut because of it. Wendy, who was one of those girls, eventually resorts to getting breast implants in a desperate attempt to get the guys to notice her, resulting in her having ridiculous boobs that only [[LaserGuidedKarma wind up getting her laughed at]], as by that time all the guys had gotten over Bebe.
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